The nurse is assisting with discharging a patient with myasthenia gravis after hospitalization for severe respiratory distress. Which patient statement indicates that the nurse's discharge teaching has been effective?
a. "If I develop muscle cramping, I can take quinine as needed."
b. "I have to take my Prostigmin exactly as prescribed without skipping a dose."
c. "I know I should take my Prostigmin as needed, whenever I feel short of breath."
d. "I will take my anticholinergic medication to prevent developing respiratory distress again."
ANS: B
With insufficient anticholinesterase medication, muscles can become weak. If respiratory muscles are affected, the patient can develop respiratory distress. C. Medication must be taken consistently to prevent weakness, not prn. A. D. Quinine and anticholinergic agents can exacerbate muscle weakness.
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A client has received an opioid analgesic for pain. The nurse assesses that the client has a Pasero Scale score of 3 and a respiratory rate of 7 shallow breaths/min. The client's oxygen saturation is 87%. What action should the nurse perform first?
a. Apply oxygen at 4 L/min. b. Attempt to arouse the client. c. Give naloxone (Narcan). d. Notify the Rapid Response Team.
In addition to obtaining the client's vital signs, which of the following questions should the nurse use to assess the client's status when the client is receiving temazepam for a sleep disturbance? Select all that apply
A) "Is the client uncomfortable?" B) "Is it too early for the client to receive the drug?" C) "Has a consent form been signed for the procedure?" D) "Does the client receive insulin to treat hyperglycemia?" E) "Are there disturbances in the environment that may keep the client awake?"
Which of the following actions demonstrate how nurses promote health?
1) Role modeling 2) Educating patients and families 3) Counseling 4) Providing support
The nurse is caring for a patient with endometriosis who is receiving danazol. The patient begins to complain of warmth and tenderness to the left lower leg. Upon assessment, the nurse notes edema and redness. The nurse should suspect
a. deep vein thrombosis (DVT). b. tendon rupture. c. an allergic reaction. d. dependent edema.